Are leading risk factors for cancer and mental disorders multimorbidity shared by these two individual conditions in community-dwelling middle-aged adults?

Journal article


Shang, Xianwen, Hodge, Allison M., Peng, Wei, He, Mingguang and Zhang, Lei. (2020). Are leading risk factors for cancer and mental disorders multimorbidity shared by these two individual conditions in community-dwelling middle-aged adults? Cancers. 12(6), pp. 1-15. https://doi.org/10.3390/cancers12061700
AuthorsShang, Xianwen, Hodge, Allison M., Peng, Wei, He, Mingguang and Zhang, Lei
Abstract

Data on the leading shared risk factors of cancer and mental disorders are limited. We included 98,958 participants (54.8% women) aged 45–64 years from the 45 and Up Study who were free of cancer, depression, and anxiety at baseline (2006–2009). The incidence of cancer, mental disorders, and multimorbidity (concurrent cancer and mental disorders) was identified using claim databases during follow-up until 31 December 2016. During a nine-year follow-up, the cumulative incidence of cancer, mental disorders, and multimorbidity was 8.8%, 17.4%, and 2.2%, respectively. Participants with cancer were 3.41 times more likely to develop mental disorders, while individuals with mental disorders were 3.06 times more likely to develop cancer than people without these conditions. The shared risk factors for cancer and mental disorders were older age, female gender, smoking, psychological distress, low fruit intake, poor/fair self-rated health, hypertension, arthritis, asthma, and diabetes. Low education, low income, overweight/obesity, and family history of depression were risk factors for mental disorders and multimorbidity but not cancer. In conclusion, smoking, low fruit intake, and obesity are key modifiable factors for the prevention of cancer and mental disorders. Individuals with poor/fair self-rated health, high psychological distress, asthma, hypertension, arthritis, or diabetes should be targeted for the prevention and screening of cancer and mental disorders.

Keywordsmultimorbidity; cancer; mental disorders; shared risk factors; leading risk factors; machine learning
Year2020
JournalCancers
Journal citation12 (6), pp. 1-15
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN2072-6694
Digital Object Identifier (DOI)https://doi.org/10.3390/cancers12061700
Scopus EID2-s2.0-85088920715
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-15
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online26 Jun 2020
Publication process dates
Accepted24 Jun 2020
Deposited28 Jul 2021
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